Resource Companion

BRIDGE PRENATAL LLC

Riverside, CA Job Details Full-time $35 - $55 an hour 2 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Working with individuals from diverse cultural backgrounds Patient counseling Supportive counseling Full Job Description Job Title Resource Companion (Perinatal Social Worker) Reports To Lead Resource Companion FLSA Status Exempt / Non-Exempt Employment Status Full-Time /

Part-Time Proposed Pay Scale Proposed Starting Rate:

$35-55 per hour.

Benefits Medical Insurance:

Basic medical insurance (dental and vision are NOT currently included) is included for the Bridge Prenatal employee only (no dependents at this time).

Paid Time Off:

10 days of PTO.

Sick Leave:

Per Labor Law. 401

K:

Offered through the Bridge Prenatal Professional Employer Organization. Bridge Prenatal will not be able to match contributions at this time. Location Field-based and virtual. In-home and virtual visits are conducted at the patient's preference, serving patients in San Diego County, San Bernardino County, or Riverside County. Reliable transportation is required for in-home visits. Schedule This role may involve irregular hours, including nights, weekends, and virtual (telehealth) visits, to accommodate patients' needs. Purpose To provide support services to women during the perinatal period—encompassing pregnancy, childbirth, and the postpartum period. This role involves SDoH and behavioral health screening assessments and resource coordination to address the complex psychological and social needs that can arise during this time. Definition A Resource Companion (Perinatal Social Worker) specializes in providing behavioral health screening assessments and facilitating coordination of care for women during the perinatal period. LCSWs, MSWs, and BSWs are on staff to support Bridge Prenatal members and serve as "resource companions" for engaged ECM patients. Role Summary The Resource Companion establishes contact with women upon referral to Bridge Prenatal to conduct comprehensive psychosocial assessments in the perinatal period, identifying mental health conditions, social challenges (social determinants of health — SDoH), and risk factors. Key Responsibilities Assessment & Support Review the patient's case by reviewing the chart and background demographic information. Behavioral health assessments may include the following validated screening tools:

EPDS, GAD-7, PHQ-9.

SDoH assessments may include the following validated screening tools: PRAPARE, the AAFP Social Needs Screening Tool, and the Alvee platform (alvee.io). Education & Counseling Provide education to expectant and new mothers regarding perinatal mental health, parenting, and family dynamics. Offer clinical/psychosocial support and community-based and MCP resources for social needs. Documentation Prepare the social work assessment EHR note; update the MCP portal as instructed with information relevant to the SW. Include in the assessment information about the patient's background, environment, family and peer relationships, personality traits, and avocational endeavors, and a psychosocial evaluation of the patient in relation to her social milieu. Complete the behavioral health questionnaire and SDoH questionnaire, and document the action plan and resources provided. Coordinate with community resources and agencies to connect clients with additional support services, such as housing, financial assistance, and healthcare. Develop an individualized SW plan of care to address identified SDoH and behavioral health needs. Maintain accurate and confidential records of patient progress; all documentation is completed in the electronic medical record, adhering to legal and ethical guidelines, and sent directly to the referring/primary clinician. Collaboration with Health Care Teams Incorporate information from various assessments by other interdisciplinary team members, including physician(s), nursing, and lactation, into the treatment plan. Advocacy & Promotion Advocate for the needs of perinatal patients. Work toward increasing awareness and accessibility of perinatal mental health services. Medical Intervention If a mother is identified as needing urgent behavioral health intervention, the SW will notify the Bridge Prenatal medical directors, the patient's primary clinician, and the MCP. Scheduling Serve patients referred for Bridge Prenatal ECM services. During hours of operation, appointments are made through patient self-scheduling directly with Bridge Prenatal or Bridge Prenatal outreach to the patient. Outpatient Visit (

In-Person or Telehealth:

Video or Phone Call) Visits take place in the home/community setting (outside of a clinic and/or hospital). The SW introduces themselves to the patient and family members, if applicable, wearing a valid identification badge. Maternal and infant assessments related to behavioral health and SDoH evaluation are completed, and, if applicable, ACE (adverse childhood experiences) screening. Minimum Education & Experience Bachelor of Social Work (BSW) and/or Master of Social Work (MSW) degree, and/or Licensed Clinical Social Worker (LCSW) licensure. At least 3 years of experience in mental health counseling, with a focus on perinatal and women's health issues. Culturally sensitive communication. Strong clinical skills in assessment, intervention, and treatment planning. Excellent communication and interpersonal skills, with the ability to work empathetically with diverse populations (bilingual preferred). Knowledge of community resources and systems relevant to perinatal care. Ability to work compassionately with diverse populations and varying cultural backgrounds. References & Resources SMFM, Social Determinants of Health — ICD-10 Codes. March 2023.

SMFM Executive Summary:

Workshop on social determinants of health and obstetrical outcomes (Feb 1-2, 2022). March 2023. AAFP Social Needs Screening Tool. 2018. Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE). September 2, 2016.

The Joint Commission:

Health-Related Social Needs Screening Question Bank.

AAFP Neighborhood Navigator:

aafp.org

National Association of Perinatal Social Workers:

napsw.org